Risk for imbalanced Nutrition Less Than Body Requirements- Danuco PDF

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Summary

RISK FOR Infant Injury- nursing care plan...

Description

Nursing Care Plan Name: Princess Kylene M. Danuco Clinical Instructor: Marivic M. Suguitan RN, MAN Client’s Name: Patient A

ASSESSMENT Subjective: The mother verbalized “wal an kog gana mo kaon pag gulay ang sud an” Objective: ● Patient appears weak and drowsy ● Pale ● Weight: 45kg ● G1T0P0L0 ● LMP= December 6, 2021 ● EDD= September 13, 22

NURSING DIAGNOSIS

Inference

Risk for imbalanced Nutrition Less Than Body Requirements related to inadequate nutritional intake

The state where an individual experiences or suffers the risk of experiencing reduced weight due to insufficient intake or metabolism of nutrients necessary for the body's metabolic needs

Date: 02/26/2022 Coarse/Level: BSN 2 Age/Sex: 20 yrs. old, female

PLANNING Short term: After 1 hour of nursing intervention the patient will be able to: a.) Verbalised the importance of nutrition to their body.

Long term: After 2 days of nursing intervention the client will maintain an adequate

INTERVENTIONS Independent: 1.) Assessed nutritional history, including a preferred food. 2.) Observed and recorded the patient's food intake. 3.) Give food a little but often and or eat between meals. 4.) Gave and Help oral hygiene. 5.) Avoid foods that stimulate gas production.

RATIONALE Independent: 1. Identify deficiencies, suspect the possibility of intervention. 2. Observing caloric intake / lack of quality food consumption. 3. Little food can reduce vulnerabilities and increase input and also prevents gastric distention. 4. Increased appetite and oral Input.

EVALUATION Short term: After 1 hour of nursing intervention the patient has been able to: a.) Verbalised the importance of nutrition to their body.

Long term: After 1 week of nursing intervention the client has maintained an adequate nutritional

● Vital signs: BP=90/70mm Hg HR=99bpm RR=22bpm Temperature= 36.2 degrees C

nutritional status as evidenced By:

5. Lowering distention and gastric irritation.

a.) Increased Body weight Collaborative/ Dependent: 1.) Resumed diet as tolerated

Collaborative/ Dependent:

status as evidenced By: a.) Increased Body weight from 45kg to 50kg

1. This particular Goal met. diet is only given when client can now tolerate any food she desires that is nutritious...